When information does not suffice: young people living with HIV and communication about ART adherence in the clinic

作者: S. Bernays , S. Paparini , D. Gibb , J. Seeley

DOI: 10.1080/17450128.2015.1128581

关键词: Family medicineHuman immunodeficiency virus (HIV)LiteracyConversationPoor adherenceClinical careArt adherenceAntiretroviral therapyClinical psychologyQualitative researchMedicine

摘要: Despite mounting evidence recommending disclosure of human immunodeficiency virus (HIV) status to young people with perinatally acquired HIV as a central motivating factor for adherence antiretroviral therapy, many continue experience partial event, rather than process. Drawing from two longitudinal, interview-based qualitative studies living (aged 10-24) in five different countries low and high income settings, we present data regarding information about the clinic. The article highlights limits discussions framing patient literacy, people's reluctance voice their difficulties context relationships clinical care teams. We suggest that clinician-initiated, explicit acknowledgment social practical hurdles daily would aid more transparent conversation encourage disclose missed doses other problems they may be facing treatment. This help reduce health harms poor longer-term.

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